City Leadership School Reference Form (Pastoral) (For students that are non Church for the City Members) Name of Applicant * Please include middle name with first name, if applicable. First Name Last Name To the Applicant: Print your name on the line above and give this form to your pastor. If your father is your pastor, please refer the form to another minister or head laymen in your church. If a person other than your pastor or assistant pastor completes the form, an explanation from you should be sent to the Registrar. To the Pastor: Each applicant for admission to CLS Program must submit a recommendation from his or her pastor or substitute as mentioned above. Serious consideration is given to the recommendations, and therefore we request that you complete the form carefully and candidly. Because we expect straightforward comments, we will handle this recommendation with the strictest confidence. Following to be completed by the Pastor: How long have you known the applicant? * How long has he/she been in your church? * How well do you know him/her? * (check on following scale) Just by name and sight Fairly well. Have had a number of personal contacts Casually. Have had few personal contacts Have had a close pastoral relationship To the best of your knowledge has the applicant made a personal commitment to Jesus Christ? * Yes No I don't know Comments To what extent is the applicant engaged in the activities of your church? * (check following scale) Irregular in attendance. Little interest in activities. Seldom participates in activities, although regularly attends Is cooperative and usually willing to help in the various activities of the church. Enthusiastically engages in the activities for his or her age. In what forms of Christian Service has the applicant been regularly active? * (Serve Teams) If the applicant does not participate, do you know why? * In comparison with other young people you know, how would you rate this person in the following areas: Leadership * Most Outstanding Superior Above Average Average Below Responsibility * Most Outstanding Superior Above Average Average Below Loyalty to Church * Most Outstanding Superior Above Average Average Below Commitment * Most Outstanding Superior Above Average Average Below In your opinion, does this student possess any outstanding abilities? * Yes No Please describe * Please mark the terms which best describe the applicant’s attitude toward the church and toward the things for which the church stands. * Warmnhearted Devoted Enthusiastic Critical Contemptuous Apathetic Sympathetic Bitter Tolerant Respectful Rebellious Antagonistic Loving Passive Grateful Other: In your estimation, this applicant’s spiritual influence on his/her classmates will be * (please choose one) Strengthening Neutral Injurious I don't know Has the applicant’s entire record been such that you would place full confidence in his/her integrity? * Does the applicant smoke, drink or have they abused drugs? * Are they personality traits which hinder this applicant in his/her relationship with others? * Please describe home factors of which you are aware, which might affect the applicant’s success in the CLS Program. We are interested in the positive as well as the negative factors. * Has the applicant discussed with you the concept of a Bible College education? * Yes No Do you fully approve of the applicant attending the CLS Program? * Yes No Comments: Signature * I understand that by typing my name I am digitally signing this document. First Name Last Name Date * MM DD YYYY Position * Phone * (###) ### #### Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Thanks for submitting this form! Your information has been received, and we’ll be in touch, soon. In the meantime, feel free to browse our site and get to know more about our church.
